Child Care Center
HEALTH POLICY
Child Care Center Name: Magic Lantern Montessori Preschool
Director: Amy Wood
Street: 4620 South Findlay Street
City, State, & Zip: Seattle, WA 98118
Telephone: 206-722-2803
Cross Street: Orcas and Rainier
Email: amy.wood@soundchildcare.org Website:
www.magiclanternpreschool.org
Hours of operation: 8:00-5:30 Ages served: 2.5 -6 years
Emergency telephone numbers:
Fire/Police/Ambulance: 911
Poison Center: 1-800-222-1222
Other important telephone numbers:
C.P.S.: 1-800-609-8764
Animal Control: (206) 386-7387
Public Health Nurse Consultant: Robin Kenepah
phone: (206) 263-8512
Public Health Nutrition Consultant: ___________________ phone: _______________
DEL Licensor: Celestine Lanier McClary
phone: (206) 706-2497
Infant Room Nurse Consultant: N/A
phone:
Communicable Disease/Immunization Hotline (Recorded Information): (206) 296-4949
Communicable Disease Report Line: (206) 296-4774
Out-of-Area Emergency Contact: Jack and Gretchen Wood 360-678-0656
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TABLE OF CONTENTS
PURPOSE AND USE OF HEALTH POLICY
4
PROCEDURES FOR INJURIES AND MEDICAL EMERGENCIES
5
FIRST AID
6
BODY FLUID CONTACT OR EXPOSURE
7
INJURY PREVENTION
8
POLICY AND PROCEDURE FOR EXCLUDING ILL CHILDREN
9-10
COMMUNICABLE DISEASE REPORTING
11
IMMUNIZATIONS
12
MEDICATION MANAGEMENT
13-17
HEALTH RECORDS
18
CHILDREN WITH SPECIAL NEEDS
19
HANDWASHING
_____ 20-21
CLEANING, SANITIZING, AND LAUNDERING____ ________________ 22-25
SOCIAL-EMOTIONAL-DEVELOPMENTAL CARE
26-27
INFANT CARE
28-30
INFANT BOTTLE FEEDING
31-33
INFANT AND TODDLER SOLID FOODS
34
TODDLER AND PRE-SCHOOL NAPPING_________________________ 35
DIAPERING
36-37
TOILET TRAINING___________________________________________ 38
FOOD SERVICE
39-41
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NUTRITION
42-45
PHYSICAL ACTIVITY AND “SCREEN” TIME________________________46
TOOTHBRUSHING
47-48
DISASTER PREPAREDNESS
49
STAFF HEALTH
50
CHILD ABUSE AND NEGLECT
51
ANIMALS ON SITE
52
NO SMOKING POLICY________________________________________ 53
CHILD CARE HEALTH PROGRAM CONTACT INFORMATION
CHILD CARE HEALTH PROGRAM
401 FIFTH AVENUE, SUITE 1000
SEATTLE, WA 98104
TELEPHONE (206) 263-8262
FAX (206) 205-6236
WEBSITE www.kingcounty.gov/health/childcare
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PURPOSE AND USE OF HEALTH POLICY
This health policy is a description of our health and safety practices.
Our policy was prepared by Amy Wood
Staff will be oriented to our health policy by_____________ Amy Wood (who),
____upon hire and annual staff meeting__________________________ (when).
Our policy is accessible to staff and parents and is located on our website and near
the Sign in sheets (recommended for staff: copy in each classroom).
Please note: Changes to health policy must be approved by a health professional (as per WAC).
This health policy does not replace these additional policies required by WAC:
1. Pesticide Policy
2. Blood borne Pathogen Policy
3. Behavior Policy
4. Disaster Policy
5. Animal Policy and/or Fish Policy (if applicable)
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PROCEDURES FOR INJURIES AND MEDICAL EMERGENCIES
1. Child is assessed and appropriate supplies are obtained.
2. If further information is needed, staff trained in first aid will refer to the First Aid
Guide located in every first aid kit.
3. First aid is administered. Non-porous gloves (nitrile, vinyl or latex*) are used if blood
is present. If injury/medical emergency is life-threatening, one staff person stays
with the injured/ill child and administers appropriate first aid, while another staff
person calls 911. If only one staff member is present, person assesses for breathing
and circulation, administers CPR for one minute if necessary, and then calls 911.
4. Staff call parent/guardian or designated emergency contact if necessary. For major
injuries/medical emergencies, a staff person stays with the injured/ill child until a
parent/guardian or emergency contact arrives, including during transport to a
hospital.
5. Staff record the injury/medical emergency on an “Accident/Incident Report” form.
The report includes:
 Date, time, place and cause of the injury/medical emergency (if known),
 Treatment provided,
 Name(s) of staff providing treatment, and
 Persons contacted.
A copy is given to the parent/guardian the same day and a copy is placed in the
child’s file. For major injuries/medical emergencies, parent/guardian signs for
receipt of the report and a copy is sent to the licensor.
6. The child care licensor is called immediately for serious injuries/incidents which
require medical attention.
7. An injury is also recorded on the Injury Log. The entry will include the child’s name,
staff involved, and a brief description of incident. We maintain confidentiality of this
log.
*Please note: Use of latex gloves over time may lead to latex allergy. Latex-free gloves are
preferred. If using latex gloves, consider selecting reduced-powder or powder-free lowprotein/hypo-allergenic gloves. Hands should always be washed after gloves are removed.
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FIRST AID
At least one staff person with current training in Cardio-Pulmonary Resuscitation (CPR) and
First Aid is present with each group or classroom at all times. Training includes:
instruction, demonstration of skills, and test or assessment. Documentation of staff training
is kept in personnel files.
Our first aid kits are inaccessible to children and located in each “Grab n’ Go” bag, in
each classroom, as well as in the Director’s office.
First aid kits are identified by a First Aid Sign.
Each of our first aid kits contains all of the following items:
 First aid guide
 Sterile gauze pads
(different sizes)
 Small scissors
 Band-Aids (different
sizes)
 Tweezers for surface
splinters
 Roller bandages
(gauze)
 Syrup of Ipecac
 CPR mouth barrier
 Large triangular
bandage
 Adhesive tape
 Gloves (nitrile, vinyl,
or latex)
*Syrup of Ipecac is administered only after calling Poison Control 1-800-222-1222.
Our first aid kits do not contain medications, medicated wipes, or medical
treatments/equipment which would require written permission from parent/guardian or
special training to administer.
Travel First Aid Kit(s)
A fully stocked first aid kit is taken on all field trips and playground trips and is kept in
each vehicle used to transport children. These travel first aid kits also contain:

Liquid soap
and paper
towels

Water

Chemical ice
(non-toxic) for
injuries

Cell phone or walkietalkies

Copies of completed
‘consent for emergency
treatment’ &
‘emergency contact’
forms
All first aid kits are checked and restocked monthly or sooner if necessary. The First Aid
Kit checklist is used for documentation and is kept in each first aid kit.
**“First Aid Kit Checklist” is available at www.kingcounty.gov/health/childcare
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BLOOD/BODY FLUID CONTACT OR EXPOSURE
Even healthy people can spread infection through direct contact with body fluids. Body
fluids include blood, urine, stool (feces), drool (saliva), vomit, drainage from
sores/rashes (pus), etc. All body fluids may be infected with contagious disease. Nonporous gloves are always used when blood or wound drainage is present. To limit
risk associated with potentially infectious blood/body fluids, the following precautions
are always taken:
1. Any open cuts or sores on children or staff are kept covered.
2. Whenever a child or staff comes into contact with any body fluids, the exposed area
is washed immediately with soap and warm water, rinsed, and dried with paper
towels.
3. All surfaces in contact with body fluids are cleaned immediately with detergent and
water, rinsed, and sanitized with an agent such as bleach in the concentration used
for sanitizing body fluids (1/4 cup bleach per gallon of water or 1 tablespoon/quart).
4. Gloves and paper towels or other material used to wipe up body fluids are put in a
plastic bag, tied closed, and placed in a covered waste container. All items used to
clean-up body fluids are washed with detergent, rinsed, and soaked in a sanitizing
solution of ¼ cup of bleach per gallon of water for at least 2 minutes and air dried.
5. A child’s clothing soiled with body fluids is put into a plastic bag and sent home with
the child’s parent/guardian. A change of clothing is available for children in care, as
well as for staff.
6. Hands are always washed after handling soiled laundry or equipment, and after
removing gloves.
Blood Contact or Exposure
When a staff person or child comes into contact with blood (e.g. staff provides first aid
for a child who is bleeding) or is exposed to blood (e.g. blood from one person enters
the cut or mucous membrane of another person), the staff person informs the Director
immediately.
When staff report blood contact or exposure, we follow current guidelines set by
Washington Industrial Safety and Health Act (WISHA), as outlined in our “Blood-borne
Pathogen Exposure Control Plan” - template available www.kingcounty.gov/health/childcare
We review the BBP Exposure Control Plan annually with our staff and document this
review.
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INJURY PREVENTION
1. Proper supervision is maintained at all times, both indoors and outdoors. Staff will
position themselves to observe the entire play area.
2. Staff will review their rooms and outdoor play areas daily for safety hazards and
remove any broken/damaged equipment.
Hazards include, but are not limited to:
 Security issues (unsecured doors, inadequate supervision, etc.)
 General safety hazards (broken toys & equipment, standing water, chokable &
sharp objects, etc.)
 Strangulation hazards
 Trip/fall hazards (rugs, cords, etc.)
 Poisoning hazards (plants, chemicals, etc.)
 Burn hazards (hot coffee in child-accessible areas, unanchored or too-hot crock
pots, etc.)
3. The playground is inspected daily for broken equipment, environmental hazards,
garbage, animal contamination, and required depth of cushion material under and
around equipment by Amy Wood (assigned person). It is free from entrapments,
entanglements, and protrusions.
4. Toys are age appropriate, safe (lead and toxin free), and in good repair. Broken
toys are discarded. Mirrors are shatterproof.
5. Rooms with children under 3 years old are free of push pins, thumbtacks, and staples.
6. Cords from window blinds/treatments are inaccessible to children.
(Many infants and young children have died from strangling in window cords. The
Consumer Product Safety Commission recommends cordless window treatments. See
the Window Covering Safety Council’s website, www.windowcoverings.org, for more
information.)
7. Staff does not step over gates or other barriers while carrying infants or children.
8. Hazards are reported immediately to the Director. The Director will insure that they
are removed, made inaccessible or repaired immediately to prevent injury.
9. The Injury Log is monitored monthly by the Director to identify accident trends and
implement a plan of correction. **”Injury Log” @ www.kingcounty.gov/health/childcare
10. Children will wear helmets when using riding equipment. Helmets will be removed
prior to other play.
11. Recalled items will be removed from the site immediately. (We routinely get updates
on recalled items and other safety hazards on the Consumer Products Safety
Commission website: www.cpsc.gov)
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POLICY AND PROCEDURE FOR EXCLUDING ILL CHILDREN
Children with any of the following symptoms are not permitted to remain in care:
1. Fever of at least 100 º F as read under arm (axillary temp.) using a digital
thermometer accompanied by one or more of the following:

Diarrhea or vomiting

Earache

Headache

Signs of irritability or confusion

Sore throat

Rash

Fatigue that limits participation in daily activities
No rectal or ear temperatures are taken.
(Oral temperatures may be taken for preschool through school age children if single use
covers are used over the thermometer. Glass thermometers contain mercury, a toxic
substance, and are therefore not be used.)
2. Vomiting: 2 or more occasions within the past 24 hours
3. Diarrhea: 3 or more watery stools within the past 24 hours or any bloody stool
4. Rash (especially with fever or itching)
5. Eye discharge or conjunctivitis (pinkeye): until clear or until 24 hours of antibiotic
treatment
6. Sick appearance, not feeling well, and/or not able to keep up with program
activities
7. Open or oozing sores, unless properly covered and 24 hours has passed since
starting antibiotic treatment, if antibiotic treatment is necessary.
8. Lice or scabies:
Head lice: until no lice or nits are present.
Scabies: until after treatment
Following exclusion, children are readmitted to the program when they no longer
have any of the above symptoms and/or Public Health exclusion guidelines for
child care are met.
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Children with any of the above symptoms/conditions are separated from the group and
cared for in the back office (location). Parent/guardian or emergency contact is notified to
pick up child.
We notify parents and guardians when their children may have been exposed to a
communicable disease or condition (other than the common cold) and provide them
with information about that disease or condition. We notify parents and guardians of
possible exposure by email and posted notice (letter, posted notice, or other means).
**Communicable Disease Fact Sheets are available online at
www.kingcounty.gov/health/childcare Individual child confidentiality is maintained.
In order to keep track of contagious illnesses (other than the common cold), an Illness
Log is kept. Each entry includes the child’s name, classroom, and type of illness. We
maintain confidentiality of this log. **”Illness Log” template is available at
www.kingcounty.gov/health/childcare
Staff members follow the same exclusion criteria as children.
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NOTIFIABLE CONDITIONS and COMMUNICABLE DISEASE REPORTING
Licensed childcare providers in Washington are required to notify Public Health when they learn that a child has been
diagnosed with one of the communicable diseases listed below. In addition, providers should also notify their
Public Health Nurse when an unusual number of children and/or staff are ill (for example, >10% of children in
a center, or most of the children in the toddler room), even if the disease is not on this list or has not yet
been identified.
To report any of the following conditions, call Public Health CD/EPI at (206) 296-4774.
Acquired immunodeficiency syndrome(AIDS)
Animal Bites
Anthrax
Arboviral disease (for example, West Nile virus)
Botulism (foodborne, wound, and infant)
Brucellosis
Burkholder mallei and pseudomallei
Campylobacteriosis
Chancroid
Chlamydia
Cholera
Cryptosporidiosis
Cyclosporiasis
Diphtheria
Diseases of suspected bioterrorism origin
Diseases of suspected foodborne origin
Diseases of suspected waterborne origin
Domoic acid poisoning
Enterohemorrhagic E. coli, (including E. coli O157:H7 infection)
Giardiasis
Gonorrhea
Granuloma inguinale
Haemophilus influenzae invasive disease
Hantavirus pulmonary syndrome
Hemolytic uremic syndrome
Hepatitis A, acute
Hepatitis B, acute
Hepatitis B, chronic
Hepatitis C, acute, or chronic
Hepatitis, unspecified (D, E)
HIV infection
Immunization reactions, (severe, adverse)
Influenza, novel or untypable strain
Legionellosis
Leptospirosis
Listeriosis
Lyme disease
Lymphogranuloma venereum
Malaria
Measles
Meningococcal disease
Monkeypox
Mumps
Paralytic shellfish poisoning
Pertussis
Plague
Poliomyelitis
Prion disease
Psittacosis
Q fever
Rabies and Rabies Exposures
Rare diseases of public health significance
Relapsing fever
Rubella
Salmonellosis
SARS
Sexually Transmitted Diseases (chancroid, gonorrhea,
syphilis, genital herpes simplex, granuloma inguinale,
lymphogranuloma venerium, Chlamydia trachomatis)
Shigellosis
Smallpox
Tetanus
Trichinosis
Tuberculosis
Tularemia
Vaccinia transmission
Vancomyacin resistant S. Aureus
Typhus
Unexplained critical illness or death
Vibriosis
Viral hemorrhagic fever
Yellow fever
Yersiniosis
Rev. February 2011
Even though a disease may not require a report, you are encouraged to consult with a Child Care Health Program Public Health
Nurse at (206) 263-8262 for information about childhood illness or disease prevention. More information about communicable
diseases can be found at http://www.kingcounty.gov/healthservices/health/communicable/diseases.aspx
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IMMUNIZATIONS
To protect all children and staff, each child in our center has a completed and signed
Certificate of Immunization Status (CIS) on site. The official CIS form or a copy of both sides
of that form is required. (Other forms/printouts are not accepted in place of the CIS form.)
The CIS form is returned to parent/guardian when the child leaves the program.
Immunization records are reviewed quarterly until the child is fully immunized by Amy Wood
(whom).
Children are required to have the following immunizations:
DTaP (Diphtheria, Tetanus, Pertussis)
IPV (Polio)
MMR (Measles, Mumps, Rubella)
Hepatitis B
HIB (Haemophilus influenzae type b) until age 5
Varicella (Chicken Pox) or Health Care Provider verification of disease
PCV (Pneumococcal bacteria) until age 5 (as of 7/1/09)
If a parent or guardian chooses to exempt their child from immunization requirements,
they must complete and sign the Certificate of Exemption Form.
If the exemption is for medical, religious, or personal/philosophical reason the child’s
health care provider (MD, DO, ND, PA, ARNP) must also sign the Certificate of
Exemption form or provide a signed letter verifying that the parent or guardian received
information on the benefits and risks of immunizations.
If the exemption is for membership in a religious body or church that does not allow
medical treatment then the parent or guardian must provide the name of this church or
body. It is not necessary to obtain a health care provider’s signature.
A current list of exempted children is maintained at all times.
Children who are not immunized may not be accepted for care during an outbreak of a
vaccine-preventable disease. This is for the protection of the unimmunized child and to
reduce the spread of the disease. This determination will be made by Public Health’s
Communicable Disease and Epidemiology division.
Current immunization information and schedules are available at
http://www.doh.wa.gov/cfh/Immunize/schools/
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MEDICATION POLICY
 Medication is accepted only in its original container, labeled with child’s full
name.
 Medication is not accepted if it is expired.
 Medication is given only with prior written consent of a child’s parent/ guardian.
This consent on the medication authorization form includes all of the following:
child’s name,
 Name of the medication,
 Reason for the medication,
 Dosage,
 Method of administration,
 Frequency (cannot be given “as needed”; consent must specify time at which
and/or symptoms for which medication should be given),
 Duration (start and stop dates),
 Special storage requirements,
 Any possible side effects (from package insert or pharmacist's written
information), and
 Any special instructions.
The “Medication Authorization form” is available on the web site, www.kingcounty.gov/health/childcare)
Parent /Guardian Consent
1. A parent/guardian may provide the sole consent for a medication, (without the
consent of a health care provider), if and only if the medication meets all of the
following criteria:
a. The medication is over-the-counter and is one of the following:








Antihistamine
Non-aspirin fever reducer/pain reliever
Non-narcotic cough suppressant
Decongestant
Ointment or lotion intended specifically to relieve itching or dry skin
Diaper ointment or non-talc powder intended for use in diaper area
Sunscreen for children over 6 months of age;
Hand sanitizers for children over 12 months of age and
b. The medication has instructions and dosage recommendations for the child’s age
and weight; and
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c. The medication duration, dosage, amount, and frequency specified on consent
form is consistent with label directions and does not exceed label
recommendations.
2. Written consent for medications covers only the course of illness or specific “time
limited” episode.
3. Written consent for sunscreen is valid up to 6 months.
4. Written consent for diaper ointment is valid up to 6 months.
Please note: As with all medications, label directions must be followed. Most
diaper ointment labels indicate that rashes that are not resolved, or reoccur,
within 5-7 days should be evaluated by a health care provider.
Health Care Provider Consent
1. The written consent of a health care provider with prescriptive authority is required
for prescription medications and all over-the-counter medications that do not meet
the above criteria (including vitamins, iron, supplements, oral re-hydration solutions,
fluoride, herbal remedies, and teething gels and tablets).
2. Medication is added to a child’s food or liquid only with the written consent of
health care provider.
3. A licensed health care provider’s consent is accepted in one of 3 ways:



The provider’s name is on the original pharmacist’s label (along with the child’s
name, name of the medication, dosage, frequency [cannot be given “as
needed”], duration, and expiration date); or
The provider signs a note or prescription that includes the information required
on the pharmacist’s label; or
The provider signs a completed medication authorization form.
Parent/guardian instructions are required to be consistent with any prescription or
instructions from health care provider.
Medication Storage
1. Medication is stored: in kitchen cabinet above the counter.._ (where).
It is:
 Inaccessible to children
 Separate from staff medication
 Protected from sources of contamination
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




Away from heat, light, and sources of moisture
At temperature specified on the label (i.e., at room temperature or refrigerated)
So that internal (oral) and external (topical) medications are separated
Separate from food
In a sanitary and orderly manner
2. Rescue medication (e.g., EpiPen® or inhaler) is stored in the “Grab n’ Go” bag or: in
kitchen cabinet above the counter.._ (where).
(Location of rescue medications should be consistent in all classrooms.)
4. Controlled substances (e.g., ADHD medication) are stored in a locked container.
Controlled substances are counted and tracked with a controlled substance form.
**”Controlled Substances Medication form” is available at www.kingcounty.gov/health/childcare
5. Medications no longer being used are promptly returned to parents/guardians,
discarded in trash inaccessible to children, or in accordance with current hazardous
waste recommendations. (Medications are not disposed of in sink or toilet.)
www.takebackyourmeds.org
6. Staff medication is stored separately from children’s in kitchen cabinet (where), out
of reach of children. Staff medication is clearly labeled as such.
Emergency supply of critical medications
For children’s critical medications, including those taken at home, we ask for a 3-day
supply to be stored on site along with our disaster supplies. Staff are also encouraged
to supply the same. Critical medications – to be used only in an emergency when a
child has not been picked up by a parent, guardian, or emergency contact – are stored
in kitchen cabinet above the counter.._ (where),
Medication is kept current (not expired). **”3-day Critical Medication form” @
www.kingcounty.gov/health/childcare
Staff Administration and Documentation
1. Medication is administered by staff trained in medication administration.
2. Staff members who administer medication to children are trained in medication
procedure and center policy. A record of the training is kept in staff files.
3. The parent/guardian of each child requiring medication involving special procedures
(e.g., nebulizer, inhaler, EpiPen®) trains staff on those procedures. A record of
trained staff is maintained on/with the medication authorization form.
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4. Staff giving medication documents the time, date, and dosage of the medication
given on the child’s medication authorization form. Each staff member initials each
time a medication is given and signs full signature once at the bottom of the page.
5. Any observed side effects are documented by staff on the child’s medication
authorization form and reported to parent/guardian. Notification is documented.
6. If a medication is not given, a written explanation is provided on authorization form.
7. Outdated medication authorization forms are promptly removed from the classroom
and placed in the child’s file.
8. All information related to medication authorization and documentation is considered
confidential and is stored out of general view.
Medication Administration Procedure
The following procedure is followed each time a medication is administered:
1. Wash hands before preparing medications.
2. Carefully read all relevant instructions, including labels on medications, noting:
 Child’s name,
 Name of the medication,
 Reason for the medication,
 Dosage,
 Method of administration,
 Frequency,
 Duration (start and stop dates),
 Any possible side effects, and
 Any special instructions
Information on the label must be consistent with the individual medication
form.
3. Prepare medication on a clean surface away from diapering or toileting areas.



Do not add medication to child’s bottle/cup or food without health care provider’s
written consent.
For liquid medications, use clean medication spoons, syringes, droppers, or
medicine cups with measurements provided by the parent/guardian (not table
service spoons).
Bulk medication is dispensed in a sanitary manner (sunscreen, diaper ointment)
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4. Administer medication.
5. Wash hands after administering medication.
6. Observe the child for side effects of medication and document on the child’s
medication authorization form.
7. Document medication administration
Self-Administration by Child
A school-aged child is allowed to administer his/her own medication when the above
requirements are met and:
1. A written statement from the child's health care provider and parent/legal guardian
is obtained, indicating the child is capable of self-medication without assistance.
2. The child's medications and supplies are inaccessible to other children.
3. Staff supervise and document each self-administration.
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HEALTH RECORDS
Each child’s health record will contain:

Health, developmental, nutrition, and dental histories

Date of last physical exam

Name and phone number of health care provider and dentist

Allergy information and food intolerances

Individualized care plan for child with special health care needs (medical,
physical, developmental or behavioral)
Note: In order to provide consistent, appropriate, and safe care, a copy of the plan
should also be available in child’s classroom.

List of current medications

Current “Certificate of Immunization Status” (CIS) form

Consent for emergency care

Preferred hospital

Any assistive devices used (e.g., glasses, hearing aids, braces)
The above information will be updated annually or sooner for any changes.
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CHILDREN WITH SPECIAL NEEDS
Our center is committed to meeting the needs of all children. This includes children with
special health care needs such as asthma and allergies, as well as children with
emotional or behavior issues or chronic illness and disability. Inclusion of children with
special needs enriches the child care experience and all staff, families, and children
benefit.
1. Confidentiality is assured with all families and staff in our program.
2. All families will be treated with dignity and with respect for their individual needs
and/or differences.
3. Children with special needs will be accepted into our program under the guidelines
of the Americans with Disabilities Act (ADA).
4. Children with special needs will be given the opportunity to participate in the
program to the fullest extent possible. To accomplish this, we may consult with our
public health nurse consultant and other agencies/organizations as needed.
5. An individual plan of care is developed for each child with a special health care
need. The plan of care includes information and instructions for

Daily care

Potential emergency situations

Care during and after a disaster
Completed plans are requested from health care provider annually or more often as
needed for changes.
6. Children with special needs are not present without an individual plan of care on
site.
7. All staff receive general training on working with children with special needs and
updated training on specific special needs that are encountered in their classrooms.
8. Teachers, cooks, and other staff will be oriented to any special needs or diet
restrictions by the Director.
The “CARE PLAN TRACKING FORM” is available at www.kingcounty.gov/health/childcare
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HANDWASHING
Liquid soap, warm water (between 85 and 120 F), and paper towels or single-use
cloth towels are available for staff and children at all sinks, at all times.
All staff wash hands with soap and water:
(a) Upon arrival at the site and when leaving at the end of the day
(b) Before and after handling foods, cooking activities, eating or serving food
(c) After toileting self or children
(d) Before, during (with wet wipe - this step only), and after diaper changing
(e) After handling or coming in contact with body fluids such as mucus, blood,
saliva, or urine
(f) Before and after giving medication
(g) After attending to an ill child
(h) After smoking
(i) After being outdoors
(j) After feeding, cleaning, or touching pets/animals
(k) After giving first aid
Children are assisted or supervised in handwashing:
(a) Upon arrival at the site and when leaving at the end of the day
(b) Before and after meals and snacks or cooking activities (in handwashing, not
in food prep sink)
(c) After toileting or diapering
(d) After handling or coming in contact with body fluids such as mucus, blood,
saliva or urine
(e) After outdoor play
(f) After touching animals
(g) Before and after water table play
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Handwashing Procedure
The following handwashing procedure is followed:
1. Turn on water and adjust temperature.
2. Wet hands and apply a liberal amount of liquid soap.
3. Rub hands in a wringing motion from wrists to fingertips for a period of not less than
20 seconds.
4. Rinse hands thoroughly.
5. Dry hands using an individual paper towel.
6. Use hand-drying towel to turn off water faucet(s) and open any door knob/latch
before discarding.
7. Apply lotion, if desired, to protect the integrity of skin.
Handwashing procedures are posted at each sink used for handwashing.
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CLEANING, SANITIZING, AND LAUNDERING
Cleaning, rinsing, and sanitizing are required on most surfaces in child care facilities, including
tables, counters, toys, diaper changing areas, etc. This 3-step method helps maintain a more
sanitary child care environment and healthier children and staff.
1. Cleaning removes a large portion of germs, along with organic materials - food, saliva,
dirt, etc. – which decrease the effectiveness of sanitizers.
2. Rinsing further removes the above, along with any excess detergent/soap.
3. Sanitizing kills the vast majority of remaining germs.
Storage
Our cleaning and sanitizing supplies are stored in a safe manner
______In Locked back hallway closet__________________________ (where).
All such chemicals are:
1. Inaccessible to children,
2. In their original container,
3. Separate from food and food areas (not above food areas),
4. In a place which is ventilated to the outside,
5. Kept apart from other incompatible chemicals
(e.g., bleach and ammonia create a toxic gas when mixed), and in a secured
cabinet, to avoid a potential chemical spill in an earthquake
Cleaning
Spray with a dilution of a few drops of liquid dish detergent and water, then wipe surface
with a paper towel.
Rinsing
Spray with clear water and wipe with a paper towel.
Sanitizing
Spray with a dilution of bleach and water (see table), leave on surface for a minimum of
2-minutes or allow to air dry.
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FIRST: Check the label on your bottle of bleach for the concentration.
Bleach Concentration of 2.75%
Solution for
sanitizing in
Amount of Bleach
Amount of Water
Contact time
classrooms
2 Tablespoons
1 quart
General areas and
2 minutes
body fluids
½ cup
1 gallon
Diaper areas and
bathrooms
Solution for
sanitizing in the
kitchen
Kitchen and
dishes/utensils
2 Tablespoons
1 quart
½ cup
1 gallon
Amount of Bleach
Amount of Water
½ teaspoon
1 quart
2 teaspoons
1 gallon
Bleach Concentration of 5.25% - 6%
Solution for
sanitizing in
Amount of Bleach
classrooms
1 Tablespoon
General areas and
body fluids
1/4 cup
Diaper areas and
bathrooms
Amount of Water
1 quart
1 gallon
1 Tablespoon
1 quart
1/4 cup
1 gallon
2 minutes
Contact time
2 minutes
Contact time
2 minutes
2 minutes
Bleach Concentration of 8.25%
If using 8.25% bleach, follow manufacturer’s instructions from the label or manufacturer’s
website to mix the disinfectant strength solution. Follow mixing, contact time and rinsing
instructions.
For sanitizing in the kitchen with 5.25%-6% and 8.25% concentration bleach:
Kitchen and
dishes/utensils
Amount of Bleach
1/4 teaspoon
Amount of Water
1 quart
Contact time
2 minutes
1 teaspoon
1 gallon
2 minutes
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Cleaning and Sanitizing Specific Areas and Items
Bathrooms
 Sinks and counters are cleaned, rinsed, and sanitized daily or more often if
necessary.
 Toilets are cleaned, rinsed, and sanitized daily or more often if necessary. Toilet
seats are monitored and kept sanitary throughout the day.
Cribs, cots, and mats
 Cribs, cots, and mats are washed, rinsed, and sanitized weekly, before use by a
different child, after a child has been ill, and as needed.
Door handles
 Door handles are cleaned, rinsed, and sanitized daily, or more often when
children or staff members are ill.
Drinking Fountains
 Any drinking fountains are cleaned, rinsed, and sanitized daily or as needed.
Floors
 Solid-surface floors are swept, washed, rinsed, and sanitized daily. Sanitizer is
not used when children are present.
 Carpets and rugs in all areas are vacuumed daily and professionally steamcleaned every 3 months (every 1 month in infant room) or as necessary. Carpets
are not vacuumed when children are present (due to noise and dust).
Furniture
 Upholstered furniture is vacuumed daily and professionally steam-cleaned every
six months or as necessary.
 Painted furniture is kept free of paint chips. No bare wood is exposed; paint is
touched up as necessary. (Bare wood cannot be adequately cleaned and sanitized.)
Garbage
 Garbage cans are lined with disposable bags and are emptied when full.
 Diaper cans are additionally emptied when odor is present in classroom.
 Outside surfaces of garbage cans are cleaned, rinsed, and sanitized daily.
Inside surfaces of garbage cans are cleaned, rinsed, and sanitized as needed.
(Diaper and food-waste cans must have tight-fitting lids and be hands-free. Garbage
cans for paper towels must be hands-free).
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Kitchen
 Kitchen counters and sinks are cleaned, rinsed, and sanitized before and after
preparing food.
 Equipment (such as blenders, can openers, and cutting boards) is washed,
rinsed, and sanitized after each use.
Laundry
 Cloths used for cleaning or rinsing are laundered after each use.
 Bibs and burp cloths are laundered after each use.
 Child care laundry is done on site or by a commercial service (it is not washed in
a private home).
 Laundry is washed at the hottest setting with bleach added during rinse cycle
(measured amount as per manufacturer’s instructions).
Mops
 Mops are cleaned, rinsed, and sanitized in a utility sink, then air dried in an area
with ventilation to the outside and inaccessible to children.
Tables and high chairs
 Tables and high chair trays are cleaned, rinsed, and sanitized before and after
snacks or meals.
 High chairs are cleaned, rinsed, and sanitized daily and as necessary.
Toys
 Only washable toys are used.
 Mouthed toys are placed in a plastic “mouthed toy” container after use by each
child. Mouthed toys are then cleaned, rinsed, and sanitized before reuse.
 Cloth toys and dress-up clothes are washed weekly (or as necessary) with hot
water.
 Other toys are washed, rinsed, and sanitized weekly (and as necessary) as
described above for “mouthed toys.”
Water Tables
 Water tables are emptied and cleaned, rinsed, and sanitized after each use, and
as necessary.
 Children wash hands before and after water table play.
General cleaning of the entire facility is done as needed.
There are no strong odors of cleaning products in our facility.
Air fresheners and room deodorizers are not used.
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SOCIAL-EMOTIONAL-DEVELOPMENTAL CARE
Establishing positive relationships with children and their families is extremely important. All of
us learn best when we are supported and understood and have positive connections to our
teachers. Childcare professionals must role model the social –emotional behavior they want to
see develop in their students. Children come from many different kinds of families and from
many different experiences. Some children come to you compromised by a variety of stressors;
some children may have even been deprived of the relationships they needed to thrive. Other
children have the benefit of adequate resources. Regardless of what children bring to your class
they all must have your warmth and attention.
Always address children with respect and a calm voice.
See yourself as a learning partner not a power figure.
Allow children to have a voice in solutions to their problems.
Program and Environment
1. Classrooms have developmentally appropriate and interesting curriculum that reflects the
culture of all the children served.
2. Opportunities are provided for choice and curricula that enhance the development of selfcontrol and social skills.
3. Teachers provide children with the comforts of routine and structure that are flexible so as to
meet the needs of a wide range of children.
4. Teachers work to establish a respectful, warm and nurturing relationship with each child in
the classroom, parents and colleagues.
5. Teachers spend time at floor/eye level with the children.
6. Voices are calm.
7. A problem solving approach is used with everyone.
8. Children are comforted when they feel unhappy.
9. Discipline is seen as an opportunity to teach children self-control and skill building.
10. Behavior policies focus on problem solving with all concerned parties, rather than listing
negative behaviors to be punished by disenrollment.
11. When a child has behavioral/social/emotional difficulties, outside resources will be accessed
and a plan made to support the child.
12. Should the program decide they cannot meet the needs of a child, outside resources will be
used to help the parent find services and placement that meet the child’s needs.
The “Behavior Handbook” is available@ www.kingcounty.gov/health/childcare
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Stand-Up Diapering for Older Children
We do stand-up diapering as appropriate.
Stand-up diaper changing takes place: in the bathroom or diapering area.
Diaper changing procedure is posted in stand-up diaper changing area. Stand-up
diaper changing procedure is followed:
1. Wash hands.
2. Gather necessary supplies (diaper/pull-up/underpants, wipes, cleaner and
sanitizer, paper towels, gloves, plastic bag).
3. Put on disposable gloves, if desired.
4. Coach children in pulling down pants and removing diaper/pull-up/underpants
(and assist as needed).
5. Put soiled disposable diaper/pull-up in a covered, hands-free, plastic lined
garbage can (or assist child in doing so).
6. Cloth diapers/underpants are put in a plastic bag and put into a covered
hand-free, plastic lined container (individual for each child), then returned to
the family at the end of the day.
7. Coach children in cleaning diaper area front to back using a clean, damp wipe
for each stroke (and assist as needed).
8. Put soiled wipes in plastic bag (or assist child in doing so).
9. Remove gloves, if worn.
10. Wash hands (in sink or with wipe) and coach child in doing the same.
11. If a signed medication authorization indicates, apply topical
cream/ointment/lotion using disposable gloves then remove gloves.
12. Coach children in putting on clean diaper/pull-up/underpants and clothing and
washing hands (in bathroom/handwashing sink).
13. Close and put any bag of soiled clothing or underpants into child’s cubby.
14. Use 3-step method on floor where change has occurred:
a. Clean with detergent and water.
b. Rinse with water.
c. Sanitize with bleach solution (1 T. bleach in 1 quart water). Allow the
bleach solution to air dry or to remain on the surface for at least 2
minutes before drying with a paper towel.
15. Wash hands (in bathroom/hand-washing sink).
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TOILET TRAINING
Toilet training is a major milestone in a young child’s life. Because children spend much
of their day in child care, you may recognize signs that a child is ready to begin toilet
training. As a provider, you can share your observations with the family and offer
suggestions and emotional support. Working together with the family, you can help
make toilet training a successful and positive experience for their child.
 Follow the same procedure in child care as in the home. Use the same words
(pee-pee, poop, etc.), so the child does not become confused about what is
required. Pretend play with a doll using the same vocabulary and talk through
expectations.
 Develop a detailed written plan of communication between the child care
program and the family. Keep daily records of successes and concerns to
share with the family.
 Encourage the family to dress the child in easily removable clothing. Keep an
extra set of clothing on hand for accidents.
 Develop routines that encourage toilet use. Watch for those non-verbal signs
that suggest a child has to use the toilet. Suggest bathroom visits at set times
of the day, before going out to play, after lunch, etc.
 Expect relapses and treat them matter-of-factly. Praise the child’s successes,
stay calm, and remember that this is a learning experience leading to
independent behavior.
 The noise made by flushing a toilet may frighten some children. Try to flush
after the child has left until they become accustomed to the noise.
 Take time to offer help to the child who may need assistance in wiping, etc.
*See the full “Toilet Training brochure” in the “Behavior Handbook” or
www.kingcounty.gov/health/childcare
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FOOD SERVICE
X We prepare meals and snacks at our center.
1. Food handler permits are required for staff that prepare full meals and are
encouraged for all staff. An “in charge” person with a food handler permit is onsite
during all hours of operation, to assure that all food safety steps are followed.
Documentation is posted in staff files (where; in the kitchen area and/or in staff files).
2. Orientation and training in safe food handling is given to all staff and documented.
3. Ill staff or children do not prepare or handle food. Food workers may not work
with food if they have:

Diarrhea, vomiting or jaundice

Diagnosed infections that can be spread through food such as Salmonella,
Shigella, E. coli or hepatitis A

Infected, uncovered wounds

Continual sneezing, coughing or runny nose
4. Child care cooks do not change diapers or clean toilets.
5. Staff wash hands with soap and warm running water prior to food preparation and
service in a designated hand-washing sink – never in a food preparation sink.
6. Gloves are worn or utensils are used for direct contact with food. (No bare hand
contact with ready-to-eat food is allowed.) Gloves must also be worn if the food preparation
person is wearing fingernail polish or has artificial nails. We highly recommend that food
service staff keep fingernails trimmed to a short length for easy cleaning. (Long fingernails
are known to harbor bacteria).
7. Employees preparing food shall keep their hair out of food by using some method
of restraining hair. Hair restraints include hairnets, hats, barrettes, ponytail holders
and tight braids.
8. Refrigerators and freezers have thermometers placed in the warmest section
(usually the door). Thermometers stay at or below 41º F in the refrigerator and 10F
in the freezer. Temperature is logged daily.
9. Microwave ovens, if used to reheat food, are used with special care. Food is
heated to 165 degrees, stirred during heating, and allowed to cool at least 2 minutes
before serving. Due to the additional staff time required, and potential for burns from “hot
spots,” use of microwave ovens is not recommended.
10. Chemicals and cleaning supplies are stored away from food and food preparation areas.
11. Cleaning and sanitizing of the kitchen is done according to the Cleaning, Sanitizing
and Laundering section of this policy.
12. Dishwashing complies with safety practices:
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
Hand dishwashing is done with three sinks or basins (wash, rinse, sanitize).

Dishwashers have a high temperature sanitizing rinse (140º F residential or
160ºF commercial) or chemical sanitizer.
13. Cutting boards are washed, rinsed, and sanitized between each use. No wooden
cutting boards are used.
14. Food prep sink is not used for general purposes or post-toilet/post-diapering
handwashing.
15. Kitchen counters, sinks, and faucets are washed, rinsed, and sanitized before
food production.
16. Tabletops where children eat are washed, rinsed, and sanitized before and after
every meal and snack.
17. Thawing frozen food: frozen food is thawed in the refrigerator 1-2 days before the
food is on the menu, or under cold running water. Food may be thawed during the
cooking process IF the item weighs less than 3 pounds. If cooking frozen foods, plan for the
extra time needed to cook the food to the proper temperature. Microwave ovens cannot be
used for cooking meats, but may be used to cook vegetables.
18. Food is cooked to the correct internal temperature:
Ground Beef 155º F
Fish 145º F
Pork 145º F
Poultry 165º F
19. Holding hot food: hot food is held at 140 F or above until served.
20. Holding cold food: food requiring refrigeration is held at 41F or less.
21. A digital thermometer is used to test the temperature of foods as indicated above,
and to ensure foods are served to children at a safe temperature.
22. Cooling foods is done by one of the following methods:

Shallow Pan Method: Place food in shallow containers (metal pans are best)
2” deep or less, on the top shelf of the refrigerator. Leave uncovered and
then either put the pan into the refrigerator immediately or into an ice bath or
freezer (stirring occasionally).

Size Reduction Method: Cut cooked meat into pieces no more than 4 inches
thick.
Foods are covered once they have cooled to a temperature of 41 F or less.
23. Leftover foods (foods that have been below 41 F or above 140 F and have not been
served) are cooled, covered, dated, and stored in the refrigerator or freezer. Leftover
food is refrigerated immediately and is not allowed to cool on the counter.
24. Reheating foods: foods are reheated to at least 165º F in 30 minutes or less.
25. X We do not use catered foods at our center.
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26. Food substitutions, due to allergies or special diets and authorized by a licensed
health care provider, are provided within reason by the center.
27. When children are involved in cooking projects our center assures safety by:

Closely supervising children,

Ensuring all children and staff involved wash hands thoroughly,

Planning developmentally-appropriate cooking activities (e.g., no sharp knives),

Following all food safety guidelines.
28. Perishable items in sack lunches are refrigerated upon arrival at the center.
NUTRITION
1. Menus are posted at least one week in advance and dated.
2. Menus follow the current CACFP Meal Pattern for meals and snacks.
http://childcareinfo.com/KnowledgeCenter/Government/State/WashingtonCACFP.as
px
3. Menus do not repeat food combinations within a 2 week period.
4. Menus list specific types of fruits, vegetables, crackers etc.
5. Food is offered at intervals not less than 2 hours and not more than 3 hours apart.
6. Breakfast is made available to any child who arrives on the premises before school.
7. X Our site is open 9 hours or less; we provide
□ two snacks and one meal
The following meals and snacks are served by the center:
Time
Meal/Snack
9:30
morning snack___________________
12:00
Lunch _________________________
2:30
afternoon snack__________________
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8. Each snack or meal includes water to drink.
9. Only 1% or nonfat milk is served to children over 2 years and whole milk to children
between 12 and 24 months old.
10. Juice is limited to 2 or less times a week.
11. For children at the center for 1 or more hours a 2 component snack must be served.
12. A fruit or vegetable is served as part of the PM snack.
13. Foods high in fat, added sugar and salt are limited.
14. Menus include hot and cold foods and vary in color, flavor and texture. (Food
choices may need to be limited to items requiring no preparation in facilities without
a food preparation area or where only a bathroom sink is available.)
15. Ethnic and cultural foods are incorporated into the menu.
16. Menus are followed. Necessary substitutions are noted on the permanent menu
copy.
17. Permanent menu copies are kept on file for at least six months. (USDA requires food
menus to be kept for 3 years including the current year.)
18. Families who provide sack lunches are notified in writing of the food requirements for
mealtime. We have available food supplies to supplement food brought from home
that does not meet the nutrition requirements.
19. Children have free access to drinking water throughout the day (individual
disposable cups or single use glasses only).
20. Children with food allergies and medically-required special diets have diet
prescriptions signed by a health care provider on file. Names of children and their
specific food allergies are posted in the kitchen, and the area where food is eaten by
the child. Confidentiality is maintained.
21. Children with severe and/or life threatening food allergies have a completed
individual care plan signed by the parent and health care provider.
22. Diet modifications for food allergies, religious and/or cultural beliefs are
accommodated and posted in the kitchen and eating area. All food substitutions are
of equal nutrient value and are recorded on the menu or on an attached sheet of
paper.
23.
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Mealtime Environment and Socialization
1. Mealtime and snack environments are developmentally appropriate and support
children’s development of positive eating and nutritional habits.

Staff sit (and preferably eat) with children and have casual conversations with
children during mealtimes.

Children are not coerced or forced to eat any food.

Children decide how much and which foods to choose to eat of the foods
available.

Food is not used as a reward or punishment.

Foods are served family style to promote self-regulation.

Staff provide healthy nutritional role modeling (serving sizes of foods, appropriate
mealtime behavior and socialization during mealtime).
2. Staff do not eat foods other than those the children eat (unless the children’s
lunches are brought from home).
3. Coffee, tea, pop and beverages other than water or those served to the children are
not consumed by staff while children are in their care, in order to prevent scalding
injuries and to role model healthy eat.
SWEET TREAT POLICY
Dessert-like items should be low in fat and contribute important nutrients such as
vitamin A and Vitamin C, minerals such as iron and calcium, and/or fiber. Food
brought from home is limited to store purchased, uncut fruit and vegetables or
food pre-packaged in original manufacturer’s containers. Programs are
responsible for reading food labels of items provided by parents to determine if the food
is safe for children with food allergies to consume.
Examples include:
Muffins or bread made with fruit or vegetables
Puddings and custards
Cobblers and pies made with lightly sweetened fruits
Plain or vanilla yogurt
Waffles or pancakes topped with crushed fruit
Bars made with whole grains and seeds
Cookies modified for fat and sugar content
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Plain cakes modified for fat and sugar content
Frozen juice popsicles
Vegetable juice
Fruit salad with vanilla yogurt
For infants and toddlers (ages 6 months to 3 years), the dessert items should not
contain nuts, seeds, raisins, dates, peanut butter, large pieces of fresh fruit or
vegetables that may cause choking. Honey and items containing honey should not be
given to infants under one year of age.
Special “treats” for celebrations should be limited to no more than twice a month; this
should be coordinated and monitored by the classroom teacher. Items that are health
promoting should always be encouraged; information is available for parents with ideas
for birthday, holiday or special occasions “treat”. Each delegate agency is responsible
for providing this information to parents.
Cultural and ethnic food items that are considered dessert or special “treat” may be
served to honor cultures represented in the program. Examples may include sticky rice
and sweet rice such as banh bo, noodle-based dessert, lefse, flan, sweet potato pie
(modified for fat and sugar), bean dessert items, sambusa or “mush-mush”. Recipes or
directions from parents could be shared with food service staff who prepares the item.
Use of non-food items to celebrate special occasions is encouraged. Examples of
these types of items include: stickers, pencils, birthday “hats” or crowns, bubble
solution, or piñatas filled with these items.
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PHYSICAL ACTIVITY AND SCREEN TIME LIMITATIONS
Adequate physical activity is important for optimal physical development and to
encourage the habit of daily physical activity. Active play time includes a balance of a
few teacher directed activities as well as child initiated play. The structured activities
help contribute to skill building and promote fitness. The focus is on fun and interactive
games and movement that also serve to enhance social and emotional skill
development.

Our center ensures that all children get at least 20-30 minutes of moderate to
vigorous physical activity per every 3 hours of care. Children in care for more
than one hour are ensured at least 20 minutes of outdoor play.

Infants are taken outside at least twice a day.

Toddlers get 60-90 minutes of active play and pre-school and school-age get 90120 minutes of active play time (moderate to vigorous activity level) during full
day care.

All children get outdoor play at least 2-3 times during full day care (children go
outside in all weather (rain, snow etc…) unless it is dangerous or unhealthful.
Screen Time

Children under 2 years do not get any screen time.

Children over 2 years TV is limited to 30 minutes of educational viewing per
week, if at all. Computer use is limited to 15 minute increments of play time,
except when children are completing school lessons.
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Plan and Training
Our Center has developed a Disaster Preparedness Plan/Policy (“Disaster Plan”
template is available @ www.kingcounty.gov/health/childcare) Our plan includes
responses to the different disasters our site is vulnerable to, as well as procedures for
on- and off-site evacuation and shelter-in-place. Evacuation routes are posted in each
classroom. Our disaster preparedness plan/policy is posted in each classroom and in
our parent information area.
Staff are oriented to our disaster policy upon hire and annually. Families are oriented
to our disaster policy upon enrollment and annually. Documentation of all orientation is
kept on file.
Staff are trained in the use of fire extinguishers. The following staff persons are trained
in utility control (how to turn off gas, electric, water):
_____________________________________________________________________.
Disaster and earthquake preparation and training are documented.
Supplies
Our center has a supply of food and water for children and staff for at least 72 hours, in
case parents/guardians are unable to pick up children at usual time. _Amy Wood__ is
responsible for stocking supplies. Expiration dates of food, water, and supplies are
checked at least annually and supplies are rotated accordingly. Essential prescribed
medications and medical supplies are also kept on hand for individuals needing them.
Each room has a fully stocked “Grab n’ Go” bag. “Grab n’ Go” bag supply list is
available at www.kingcounty.gov/health/childcare
Hazard Mitigation
We have taken action to make our center earthquake/disaster-safe. Bookshelves, tall
furniture, refrigerators, crock pots, and other potential hazards are secured to wall
studs. We continuously monitor all rooms and offices for anything that could fall and
hurt someone or block an exit – and take action to correct these things. Amy Wood is
the primary person responsible for hazard mitigation, although all staff members are
expected to be aware of their environment and make changes as necessary to increase
safety.
Drills
Fire drills are conducted and documented each month. Disaster drills are conducted
monthly (how often; quarterly at a minimum – monthly recommended). ** The “Disaster Drill Record” template
is @ www.kingcounty.gov/health/childcare
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STAFF HEALTH
1. New staff and volunteers must document a tuberculin skin test (Mantoux method)
within the past year, unless not recommended by a licensed health care provider.
2. Staff members who have had a positive tuberculin skin test in the past will always
have a positive skin test, despite having undergone treatment. These employees
do not need documentation of a skin test. Instead, by the first day of
employment, documentation must be on record that the employee has had a
negative (normal) chest x-ray and/or completion of treatment.
3. Staff members do not need to be retested for tuberculosis unless they have an
exposure. If a staff member converts from a negative test to a positive test
during employment, medical follow up will be required and a letter from the health
care provider must be on record that indicates the employee has been treated or
is undergoing treatment.
4. Our center complies with all recommendations from the local health jurisdiction.
(TB is a reportable disease.).
5. Staff members who have a communicable disease are expected to remain at
home until no longer contagious. Staff are required to follow the same guidelines
outlined in EXCLUSION OF ILL CHILDREN in this policy.
6. Staff members are encouraged to consult with their health care provider
regarding their susceptibility to vaccine-preventable diseases.
7. Staff who are pregnant or considering pregnancy are encouraged to inform their
health care provider that they work with young children. When working in child
care settings there is a risk of acquiring infections which can harm a fetus or
newborn. These infections include Chicken Pox (Varicella), CMV
(cytomegalovirus), Fifth Disease (Erythema Infectiosum), and Rubella (German
measles or 3-day measles), In addition to the infections listed here, other
common infections such as influenza and Hand Foot and Mouth disease can be
more serious for pregnant women and newborns. Good handwashing, avoiding
contact with ill children and adults, and cleaning of contaminated surfaces can
help reduce those risks.
8. Adult sized chairs will be provided for staff.
9. Staff will not step over gates or other barriers.
Recommendations for adult immunizations are available at
http://www.doh.wa.gov/cfh/Immunize/immunization/adults.htm
January 2013
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CHILD ABUSE AND NEGLECT
1. Child care providers are state mandated reporters of child abuse and neglect; we
immediately report suspected or witnessed child abuse or neglect to Child Protective
Services (CPS). The phone # for CPS is 1-800-609-8764.
2. Signs of child abuse and/or neglect are documented and that information is kept
confidentially in the Director’s office.
3. Training on identifying and reporting child abuse and neglect is provided to all staff
and documentation kept in staff files.
4. Licensor is notified of any CPS report made.
January 2013
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ANIMALS ON SITE
X We have no animals on site.
We have the following animals on site: ____________________________________
We have animal visitors: □ regularly □occasionally. Please list animal visitors.
______________________________________________________________________
1. We have an animal policy, which is located ________________________________.
2. Animals at or visiting our center are carefully chosen in regards to care,
temperament, health risks, and appropriateness for young children. We do not have
birds of the parrot family that may carry psittacosis, a respiratory illness. We do not
have reptiles, chickens, ducks, and/or amphibians that typically carry salmonella, a
bacterium that can cause serious diarrhea disease in humans, with more severe
illness and complications in children.
3. Parents are notified in writing when animals will be on the premises. Children with
an allergic response to animals are accommodated.
4. Animals, their cages, and any other animal equipment are never allowed in kitchen
or food preparation areas.
5. Children and adults wash hands after feeding animals or touching/handling animals
or animal homes or equipment.
January 2013
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“NO SMOKING” POLICY
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Staff will not smoke in the presence of children or parents while at work.
There will be no smoking on site or in outdoor areas immediately adjacent to any
buildings (not within 25 feet of an entrance, exit, or ventilation intake of the
building) where there are classrooms regardless of whether or not children are
on the premises. (Rationale: residual toxins from smoking can trigger asthma
and allergies when children do use the space). There is no smoking allowed in
any vehicle that children are transported in.
If staff members smoke, they must do so away from the school property, and out
of sight of parents and children. They should make every attempt to not smell of
smoke when they return to the classroom. Wearing a smoking jacket that is not
brought into the building is helpful.
Public Health Department staff will be available to provide trainings and
resources regarding the effects of smoking to families as requested by the
centers.
Public Health Department will provide resources for staff interested in quitting smoking.
In King County: http://www.kingcounty.gov/healthservices/health/tobacco.aspx
October 2012
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